How does rectum fistula operation picture?

summary

Rectovaginal fistula is the connection between rectum and vagina. If the fistula is large and the defecation is unobstructed, the fistula can be asymptomatic. Rectovaginal fistula mostly occurs in congenital anorectal malformation. The clinical manifestations of rectovaginal fistula ranged from mild to significant fecal discharge. When the fistula is small or the anus is narrow or the anus is atresia, it shows chronic incomplete intestinal obstruction. Several days or even months after birth or after 2-3 years old, children have difficulty in defecation and stubborn constipation. Sometimes enema or cathartic must be used to defecate. How does rectum fistula operation picture? Now let's talk about it.

How does rectum fistula operation picture?

Common symptoms: vaginal discharge, difficult defecation, vulvar pain, vulvar pruritus, if the fistula is large, no obstruction symptoms, but abnormal defecation position, defecation pain and stool deformation symptoms.

The fistula can be repaired by vagina or rectum. The advantages are simple operation and easy operation. The disadvantage is that the recurrence rate is high. Due to tension during suture and uneven separation of rectal or vaginal tissues, the mucosal muscle flap should have sufficient blood supply.

The patients with rectovaginal fistula caused by obstetric operation and trauma were treated with transrectal or vaginal repair under the condition of inflammation control. Incision and separation of the edge of the rectum and vaginal wall, closing the rectal wall for transverse involved varus. The vaginal mucosa was closed in transverse direction.

matters needing attention

The patients with acquired rectovaginal fistula should be treated according to the cause of the disease, and those caused by inflammation should be treated actively. According to the condition of the disease, repair, intestinal resection and enterostomy should be selected.